Skip to main content
Log in

The Practices, Orientation, Satisfaction, and Sexual Response in Men with Spinal Cord Injury

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

In several spinal injuries, motor impairments significantly compromise the individual's activities. Thus, in an individual with a spinal cord injury (SCI) some sexual mechanisms are compromised, such as erectile capacity, ejaculation, semen quality, orgasm, fertility, and psychological changes. To understand the sexuality and the personal history of sexual function of the individual is crucial, since the recovery of sexual function is reported as a priority by individual with an SCI. So, the aim of this study was to investigate the practices, orientation, satisfaction, and sexual response in men with spinal cord injury (SCI). This is a cross-sectional study. The Human Sexuality Questionnaire LM (LM-QSH) was used to compare the responses before and after an SCI. The paired t-test was used to compare responses before and after the SCI. After SCI, it was observed that 94%, of men maintained an active sex life, with 50% having sex ≤ 1 time per week. After SCI individuals reported greater pleasure in the mouth, neck, and ears, and there was a reduction in sexual responses. Of men reporting, 90% made medium to large sexual adjustments, both physically and psychologically. The results of the present study demonstrated that men with SCI maintained an active sex life and unchanged sexual desire. Most of men with SCI were not advised about physical and psychological sexual adjustments when adapting to sex, both physical and emotional.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Availability of Data and Materials

Data was available, if necessary.

Code Availability

Excel was used in order to provide codes.

References

  1. Gomes, C.M., Miranda, E.P., de Bessa Jr, J., Bellucci, C.H.S., Battistella, L.R., Abdo, C.H.N., et al.: Erectile function predicts sexual satisfaction in men with SCI. Sex. Med. 5, 148–155 (2017)

    Article  Google Scholar 

  2. Center, N.S.C.I.S.: Spinal cord injury facts and figures at a glance. J. Spinal Cord Med. 39, 493–494 (2016)

    Article  Google Scholar 

  3. Patki, P., Woodhouse, J., Hamid, R., Craggs, M., Shah, J.: Effects of spinal cord injury on semen parameters. J. Spinal Cord Med. 31, 27–32 (2008)

    Article  PubMed  PubMed Central  Google Scholar 

  4. Elliott, S.L.: Problems of sexual function after spinal cord injury. Prog. Brain Res. 152, 387–399 (2006)

    Article  PubMed  Google Scholar 

  5. Alexander, M.S., Aisen, C.M., Alexander, S.M., Aisen, M.L.: Sexual concerns after spinal cord injury: an update on management. Neurorehabilitation. 41, 343–357 (2017)

    Article  PubMed  Google Scholar 

  6. Alexander, M.S., New, P.W., Biering-Sorensen, F., Courtois, F., Popolo, G.D., Elliott, S., et al.: International spinal cord injury male sexual function and female sexual and reproductive function basic data sets-version 2.0. Spinal Cord Ser. Cases. 3, 17050 (2017)

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hess, M.J., Hough, S.: Impact of spinal cord injury on sexuality: broad-based clinical practice intervention and practical application. J. Spinal Cord Med. 35, 211–218 (2012)

    Article  PubMed  Google Scholar 

  8. Sipski, M., Alexander, C.J., Gómez-Marín, O.: Effects of level and degree of spinal cord injury on male orgasm. Spinal Cord. 44, 798–804 (2006)

    Article  PubMed  Google Scholar 

  9. Anderson, K.D.: Targeting recovery: priorities of the spinal cord-injured population. J. Neurotrauma. 21, 1371–1383 (2004)

    Article  PubMed  Google Scholar 

  10. Consortium for Spinal Cord Medicine: sexuality and reproductive health in adults with spinal cord injury: a clinical practice guideline for health-care professionals. J. Spinal Cord Med. 33, 2813–2836 (2010)

    Google Scholar 

  11. Harvey, L.A.: Physiotherapy rehabilitation for people with spinal cord injuries. J. Physiother. 62, 4–11 (2016)

    Article  PubMed  Google Scholar 

  12. Albright, T.H., Grabel, Z., Depasse, J.M., Palumbo, M.A., Daniels, A.H.: Sexual and reproductive function in spinal cord injury and spinal surgery patients. Orthop. Rev. 7, 74–79 (2015)

    Article  Google Scholar 

  13. Kovac, J.R., Lipshultz, L.I.: The importance of sexual function in men with spinal cord injuries. Asian J. Androl. 18, 391 (2016)

    Article  PubMed  PubMed Central  Google Scholar 

  14. Baasch, A.K.M.: Sexuality on spinal cord injury [dissertation]. Universidade do Estado de Santa Catarina-UDESC (2008)

  15. Miranda, E.P., Gomes, M.C., de Bessa Jr, J., Abdo, C.H.N., Bellucci, C.H.S., de Castro Filho, J.E., et al.: Evaluation of sexual dysfunction in men with spinal cord injury using the male sexual quotient. Arch. Phys. Med. Rehabil. 97, 947–952 (2016)

    Article  PubMed  Google Scholar 

  16. Cardoso, F.L., Savall, A.C.R., Mendes, A.K.: Self-Awareness of the male sexual response after spinal cord injury. Int. J. Rehabil. Res. 32, 294–300 (2009)

    Article  PubMed  Google Scholar 

  17. Alexander, M.S., Alexander, C.J.: Recommendations for discussing sexuality after spinal cord injury/dysfunction in children, adolescents, and adults. J. Spinal Cord Med. 30, 65–70 (2007)

    Article  Google Scholar 

  18. Morrison, B.F., White-Gittens, I., Smith, S., John, S.S., Bent, R., Dixon, R.: Evaluation of sexual and fertility dysfunction in spinal cord-injured men in Jamaica. Spinal Cord Ser. Cases. 3, 17050 (2017)

    Article  Google Scholar 

  19. Biering-Sorensen, I., Hansen, R.B., Biering-Sorensen, F.: Sexual function in a traumatic spinal cord injured population 10–45 years after injury. J. Rehabil. Med. 44, 926–931 (2012)

    Article  PubMed  Google Scholar 

  20. New, P.W., Currie, K.E.: Development of a comprehensive survey of sexuality issues including a self-report version of the international spinal cord injury sexual function basic data sets. Spinal Cord. 54, 584–591 (2015)

    Article  PubMed  Google Scholar 

Download references

Funding

Institutional Funding Agency: PROBIC (Programa Institucional de Bolsas da Faculdade Ciências Médicas de Minas Gerais). The author(s) disclosed the receipt of the following financial support for the research, authorship and/or publication of this article: There is no external support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Janaine Cunha Polese.

Ethics declarations

Conflict of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

Consent to Participate

Individuals read signed the Informed Consent.

Consent for Publication

Individuals consent with publication.

Ethical Approval

This study approved by the Research Ethics Committee (CAAE 60849516.4.0000.5134).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

de Moura, A.C.M.L., Rodrigues, C.N., Costa, P.H.V. et al. The Practices, Orientation, Satisfaction, and Sexual Response in Men with Spinal Cord Injury. Sex Disabil 38, 615–623 (2020). https://doi.org/10.1007/s11195-020-09666-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-020-09666-9

Keywords

Navigation